The clinical concept of restoring age-related declines in cognitive functions such as memory, executive function, and processing speed to a state characteristic of a younger physiological age. This reversal focuses on mitigating neurobiological deterioration and optimizing neural network efficiency, moving beyond mere symptom management to address underlying biological drivers of cognitive senescence.
Origin
This term is a conceptual synthesis derived from the fields of gerontology, neuroendocrinology, and functional medicine, emphasizing plasticity and the potential for restorative interventions rather than accepting cognitive decline as an immutable consequence of aging. It reflects a paradigm shift in longevity science, viewing cognitive decline as a modifiable, multifactorial process.
Mechanism
Reversal strategies typically involve modulating key hormonal axes, such as the hypothalamic-pituitary-adrenal (HPA) axis and gonadal steroids, alongside enhancing neurotrophic factor expression like BDNF. These interventions aim to reduce neuroinflammation, improve mitochondrial bioenergetics in neurons and glial cells, and support synaptic density and communication, thereby restoring optimal cerebral metabolic function.
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